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Wisconsin rates for HCPCS 21030

Exc Benign Tumor/Cyst Maxl/Zygoma Encl & Curtg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.70 / $760.14 / $3,119.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.70 / $458.81 / $1,813.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,479.00 / $9,096.00 / $15,579.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.05 / $827.78 / $2,274.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.59 / $884.59 / $884.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,229.13 / $1,436.33 / $2,203.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.00 / $1,339.09 / $2,116.42
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.70 / $577.36 / $1,051.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.17 / $726.36 / $7,160.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.62 / $1,081.15 / $3,427.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.59 / $272.80 / $879.93
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$358.70 / $572.74 / $1,051.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.08 / $1,100.08 / $1,592.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.62 / $563.62 / $2,551.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.77 / $1,960.56 / $3,427.04
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.66 / $2,329.03 / $2,963.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,103.00 / $6,477.00 / $8,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.78 / $1,012.68 / $2,186.32